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Individual

NICANDRO S RAMOS JR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T,

Contact information

Practice address
193 ELMWOOD AVE, PROVIDENCE, RI 02907-1460
(617) 442-3462
(617) 445-7874
Mailing address
76 GANO ST # 2, PROVIDENCE, RI 02906-3823
(917) 328-6355

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT01194
RI
2251N0400X
Neurology Physical Therapist
PT01194
RI

Other

Enumeration date
08/21/2013
Last updated
08/21/2013
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